MARILYN NAH NGUNDAM (NPI# 1447720669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447720669 |
| Entity Type | Individual |
| Full Name | MARILYN NAH NGUNDAM |
| Credential | NP -C |
| Practice Address |
911 E 9 Mile Rd Ferndale MI 48220-1934 |
| Mailing Address |
3950 S Rochester Rd Ste 1300 Rochester Hills MI 48307-5169 |
| Practice Telephone | 2483364000 |
| Mailing Telephone | 2487056223 |
| Mailing Fax Number | 2482531462 |
| Enumeration Date | 2018-11-30 |
| Last Update Date | 2019-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704312977 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | MI STATE LICENSE | 4704312977 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18463 Livernois Ave, Detroit, MI 482212254 | 3138615810 | |
| 3950 S Rochester Rd Ste 1300, Rochester Hills, MI 48307 | 2487056223 | 2482531462 |
| Street Address |
911 E 9 MILE RD |
| City | FERNDALE |
| State | MI |
| Zip Code | 48220-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104815232 | Robert C Levine | Family Medicine | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2005-10-20 |
| 1760013247 | Sphere Health Pllc | Clinic/Center | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2020-02-03 |
| 1497392005 | Kristin Nicole Iannotti | Physician Assistant | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2019-12-02 |
| 1396393856 | Sphere Orthopedics and Regenerative Health Pllc | Clinic/Center | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2019-08-28 |
| 1821551680 | Scott Edward Garavaglia | Physical Therapist | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2019-04-09 |
| 1790248821 | Frank Zuziak | Nurse Practitioner | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2019-04-06 |
| 1134610207 | Deena Chabaan | Physician Assistant | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2018-05-24 |
| 1417478025 | Jennifer Balint | Physician Assistant | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2017-07-05 |
| 1780111575 | Amber Sarah Kalabat | Nurse Practitioner | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2017-05-11 |
| 1538606173 | Theresa Welt | Dietitian, Registered | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2017-01-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609428960 | Jennifer Guglielmi | Case Manager/Care Coordinator | Community Living Services, Kent County Division, 642 East Nine Mile Road, Ferndale, MI 48220 | 2019-07-16 |
| 1750876439 | Kathryn Pozniak | Counselor | 3136 Hilton Rd, Ferndale, MI 48220 | 2018-06-26 |
| 1033626841 | Anna Billane Kern | Nurse Practitioner | 223 E Oakridge St Apt 2, Ferndale, MI 48220 | 2018-01-02 |
| 1790294213 | Essential Healing LLC | Home Health | 1929 Almont St, Ferndale, MI 48220 | 2017-09-27 |
| 1629599220 | Gifted Hands Care Services LLC. | Home Health Aide | 1825 E. Troy, Ferndale, MI 48220 | 2017-07-05 |
| 1538609409 | Andrew Spitzer | Nurse Practitioner | 261 W 9 Mile Rd Apt 301, Ferndale, MI 48220 | 2017-02-27 |
| 1598211914 | Samantha Marie Vann | Technician, Other | 2147 Moorehouse, Ferndale, MI 48220 | 2016-08-26 |
| 1174981963 | Kelsey Rose Orlando | Speech-Language Pathologist | 3178 Hilton Rd, Ferndale, MI 48220 | 2016-02-08 |
| 1598123747 | Marlene O. Joshi | Counselor | 1538 Leroy St, Ferndale, MI 48220 | 2016-02-03 |
| 1245608892 | Michael Tocco | Acupuncturist | 3055 Hilton Rd Ste B, Ferndale, MI 48220 | 2015-09-11 |
| Find all providers in zip 48220 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669003273 | Keith Bowman | Nurse Practitioner | 2112 Pinecrest Dr, Ferndale, MI 48220-1225 | 2020-02-01 |
| 1790316834 | Shanna Suzanne Vanpelt | Nurse Practitioner | 1321 W 9 Mile Rd Apt B, Ferndale, MI 48220-3802 | 2020-01-28 |
| 1033626841 | Anna Billane Kern | Nurse Practitioner | 223 E Oakridge St Apt 2, Ferndale, MI 48220 | 2018-01-02 |
| 1750606265 | Faith Richardson | Nurse Practitioner | 4544 Lopez Dr, Ferndale, WA 98248-9529 | 2010-03-29 |
| 1013541499 | Kerri Lynn Leich | Nurse Practitioner | 751 E 9 Mile Rd Ste 2, Ferndale, MI 48220-1989 | 2020-02-25 |
| 1790248821 | Frank Zuziak | Nurse Practitioner | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2019-04-06 |
| 1639675473 | Juston N Mansfield | Nurse Practitioner | 10300 W 8 Mile Rd, Ferndale, MI 48220-2100 | 2018-04-02 |
| 1780111575 | Amber Sarah Kalabat | Nurse Practitioner | 911 E 9 Mile Rd, Ferndale, MI 48220-1934 | 2017-05-11 |
| 1316485006 | Evan M. Chalfin | Nurse Practitioner | 638 Main Street, Ferndale, CA 95536-1157 | 2017-02-02 |
| 1972053965 | Rebecca Brejcha | Nurse Practitioner | 5580 Nordic Pl, Ferndale, WA 98248-9138 | 2016-10-13 |
| Find all providers in FERNDALE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.